论文部分内容阅读
目的对浙江省2009~2013年麻疹监测信息报告管理系统(Measles Surveillance Information Report and Management System,MSIRMS)运转情况进行评价,为提高麻疹监测质量提供参考。方法分析浙江省2009~2013年MSIRMS统计的数据,评价主要监测指标。结果浙江省2009~2013年排除麻疹病例报告发病率均>2/10万,48小时内个案完整调查率均>90%,血清检测结果 7天内报告率均>80%。散发疑似麻疹病例血标本采集率从2009年的82%提高至2013年的>99%。2009~2013年麻疹爆发疫情血清学确诊率均为100%,病原学标本采集率从2010年开始>80%。结论浙江省从2011年起以设区的市或以县(市、区)为单位,MSIRMS的敏感性、及时性和特异性指标均达到世界卫生组织和卫生部消除麻疹的有关要求,要在保持MSIRMS高效运转的同时,进一步降低麻疹发病率是今后消除麻疹的主要目标。
Objective To evaluate the operation of Measles Surveillance Information Report and Management System (MSIRMS) in Zhejiang Province from 2009 to 2013, and provide references for improving the quality of measles surveillance. Methods The data of MSIRMS from 2009 to 2013 in Zhejiang Province were analyzed to evaluate the main monitoring indicators. Results The incidence of measles cases excluding measles in 2009 ~ 2013 in Zhejiang province were all higher than 2 / 100,000. The complete investigation rate was> 90% within 48 hours and the reported rate of serum test results was> 80% within 7 days. Blood samples collected from suspected cases of measles were collected from 82% in 2009 to> 99% in 2013. The confirmed seroprevalence of measles outbreak in 2009 ~ 2013 was 100%, and the collection rate of etiological specimens was> 80% from 2010 onwards. Conclusion Since 2011, the sensitive, timely and specific indicators of MSIRMS have reached the requirements of eliminating rubella by the World Health Organization and the Ministry of Health in each municipality or county (city or district) While maintaining the efficient functioning of MSIRMS, further reductions in the incidence of measles are the main targets for eliminating measles in the future.